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If you wish to receive an informative laser vision correction individual evaluation, you can send us your present correction and we can give you an idea about the feasibility of a possible procedure so you can discuss it with your ophthtalmologist.
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PERSONAL INFORMATION
LAst Name
First Name
Adress 1
Adress 2
Country
Email
Age

EYE INFORMATION

Correzione
none
glasses
lens
glasses and contact

Eye Prescription
Nearsighted
Farsighted
Astigmatism
Presbyopia

REQUEST
Futher Specific
Information
Information Seminar Calendar
Doctors Name
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